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General NPI Number Information
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NPI Number | 1073973673
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Entity Type | Organization
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Legal Business Name | GRACE MEADOWS ASSISTED LIVING LLC
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 02/25/2016
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Provider Practice Location Address
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Address Line | 4902 W BEVERLY LN
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City | GLENDALE
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State | AZ
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Zip | 85306-2028
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Country | US
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Telephone | 602-978-1568
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Fax |
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Provider Business Mailing Address
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Address Line | 4902 W BEVERLY LN
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City | GLENDALE
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State | AZ
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Zip | 85306-2028
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Country | US
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Telephone | 602-978-1568
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | MR. MIKE J OLEARY
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Credential |
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Telephone | 602-978-1563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL9915H
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License Number State | AZ
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